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Molina Healthcare - Affinity by Molina Healthcare

Molina Healthcare - Affinity by Molina Healthcare

This page contains information you can use to exchange healthcare transactions with Molina Healthcare - Affinity by Molina Healthcare using Stedi.
Use any of the following payer IDs to send transactions to Molina Healthcare - Affinity by Molina Healthcare using Stedi APIs or SFTP. Read the docs
Primary Payer ID
16146
Stedi Payer ID
DOGPS
Payer ID aliases
13334, 14324, 16146, 3434, BXQNL, MOLINA_NY, SCHCTC, TCARE
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Molina Healthcare - Affinity by Molina Healthcare using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Molina Healthcare - Affinity by Molina Healthcare.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Molina Healthcare - Affinity by Molina Healthcare to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Molina Healthcare - Affinity by Molina Healthcare in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Molina Healthcare - Affinity by Molina Healthcare and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Molina Healthcare - Affinity by Molina Healthcare and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Molina Healthcare - Affinity by Molina Healthcare to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Molina Healthcare - Affinity by Molina Healthcare and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Molina Healthcare - Affinity by Molina Healthcare.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Molina Healthcare - Affinity by Molina Healthcare and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Molina Healthcare - Affinity by Molina Healthcare today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Molina Healthcare New York (Total Care New York)
  • Molina Healthcare of New York
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